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Die kongenitale oculomotorische Apraxie Cogan

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Summary

This is a report on congenital oculomotor apraxia Cogan and its pathophysiology based on all the cases hitherto published. From the evaluation of the information available on this disorder, it is concluded that the interpretation of the oculomotor disturbances by most authors is to be challenged. In contrast to the former assumption of a disturbance of cortical and, in particular, frontal oculomotor centers, this disorder may well be explained by a pathology within certain parts of the pons and mesencephalon as well as the cerebellum or by a disturbance of their mutual interconnections. The classical symptoms of this disorder are documented on the basis of a case observed personally.

Zusammenfassung

Es wird das Krankheitsbild der kongenitalen oculomotorischen Apraxie Cogan beschrieben und seine Pathophysiologie unter Verwertung aller bisher publizierten Fälle eingehend diskutiert. Dabei ergibt sich eine von der bisherigen Auffassung abweichende Deutung der oculomotorischen Störungen, indem diese nicht durch eine Funktionsstörung der corticalen, insbesondere der frontalen Blickzentren, sondern durch eine auf bestimmte Teile des Hirnstamms (Pons, Mesencephalon) und des Kleinhirns oder ihrer gegenseitigen Verbindungen beschränkte regionäre Funktions- oder Entwicklungsstörung erklärt werden.

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Literatur

  • Alfano, J.: Spasm of fixation. Amer. J. Ophthal. 40, 724 (1955).

    Google Scholar 

  • Altrocchi, P., and J. Menkes: Congenital ocular motor apraxia. Brain 83, 579 (1960).

    Google Scholar 

  • Appenzeller, O., and C. Hanson: Parietal ataxia. Arch. Neurol. (Chic.) 15, 462 (1966).

    Google Scholar 

  • Bender, M.: The oculomotor system. New York: Harper & Row 1964.

    Google Scholar 

  • Bertelsen: zit. n. A. Kestenbaum.

    Google Scholar 

  • Bielschowsky, A.: Das klinische Bild der assoziierten Blicklähmung und seine Bedeutung für die topische Diagnostik. Münch. med. Wschr. 39, 1666 (1903).

    Google Scholar 

  • — P. Jaensch, W. Klestadt, F. Kramer, O. Marchesani u. W. Riese: Hirnnerven, Pupille. In: Handbuch der Neurologie, Bd. IV. Berlin: Springer 1936.

    Google Scholar 

  • Bing, R.: Kompendium der topischen Gehirn- und Rückenmarksdiagnostik. Basel: Schwabe 1948.

    Google Scholar 

  • Breakey, A.: Ocular findings in cerebral palsy. Arch. Ophthal. 53, 825 (1955).

    Google Scholar 

  • Campbell, W., and R. Zeller: Congenital ocular motor apraxia in females. Arch. Ophthal. 66, 643 (1961).

    Google Scholar 

  • Cogan, D.: A type of congenital ocular motor apraxia presenting jerky head movements. Trans. Amer. Acad. Ophthal. Otolaryng. 56, 835 (1952).

    Google Scholar 

  • —Balint's syndrome and ocular motor apraxia. Arch. Ophthal. 53, 758 (1955).

    Google Scholar 

  • —Brain lesions and eye movements in man. In: The oculomotor system. Ed.: M. Bender, New York: Hoeber 1961.

    Google Scholar 

  • —Ophthalmic manifestations of bilateral non occipital cerebral lesions. Brit. J. Ophthal. 49, 281 (1965).

    Google Scholar 

  • —Neurology of the visual system. Springfield (Ill.): Thomas 1966.

    Google Scholar 

  • —and D. Adams: A type of paralysis of conjugate gaze. Arch. Ophthal. 50, 434 (1953).

    Google Scholar 

  • —and R. Loeb: Optokinetic response and intracranial lesions. Arch. Neurol. Psychiat. (Chic.) 61, 183 (1949).

    Google Scholar 

  • Cords, R.: Zur Pathologie der Führungsbewegungen. Albrecht v. Graefes Arch. Ophthal. 123, 173 (1929).

    Google Scholar 

  • Crosby, E.: Relations of brain centers to normal and abnormal eye movements in the horizontal plane. J. comp. Neurol. 99, 437 (1953).

    Google Scholar 

  • Fanconi, G., u. U. Türler: Kongenitale Kleinhirnatrophie mit supranucleären Störungen der Motilität der Augenmuskeln. Helv. paediat. Acta 6, 475 (1951).

    Google Scholar 

  • Ford, F.: Congenital lack of lateral gaze. In: Diseases of the nervous system in childhood. Ed.: F. Ford. Springfield (Ill.): Thomas 1960.

    Google Scholar 

  • Hassler, R.: Erkrankungen des Kleinhirns. In: Handbuch der Inneren Medizin, Neurologie, V/3. Berlin-Göttingen-Heidelberg: Springer 1953.

    Google Scholar 

  • Holmes, G.: Disturbances of visual orientation. Brit. J. Ophthal. 2, 505 (1918).

    Google Scholar 

  • —The cerebral integration of the ocular movements. Brit. med. J. 1938/I, 107.

    Google Scholar 

  • Iagram, T.: Pediatric aspects of cerebral palsy. Edinburgh: Livingstone 1964.

    Google Scholar 

  • Keiner, G. and E. Keiner: Congenital ocular motor apraxia. Amer. J. Ophthal. 46, 382 (1958).

    Google Scholar 

  • Kestenbaum, A.: Clinical methods of neuro-ophthalmological examinations. New York: Grune & Stratton 1961.

    Google Scholar 

  • Kleyn, A. de: zit. n. E. Crosby.

    Google Scholar 

  • Lyle, D.: Ocular motor apraxia. Trans. Amer. ophthal. Soc. 59, 274 (1961).

    Google Scholar 

  • Peele, T.: The neuroanatomic basis for clinical neurology. New York: McGraw-Hill 1961.

    Google Scholar 

  • Perlstein, M.: Infantile cerebral palsy. Advanc. Pediat. 7, 209 (1955).

    Google Scholar 

  • Penfield, W., and T. Rasmussen: The cerebral cortex of man. New York: Macmillan 1950.

    Google Scholar 

  • Reed, H., and S. Israels: Congenital ocular motor apraxia. Brit. J. Ophthal. 40, 444 (1956).

    Google Scholar 

  • Riopel, D.: Congenital motor apraxia. Amer. J. Ophthal. 55, 511 (1963).

    Google Scholar 

  • Rodin, E.: Impaired ocular pursuit movements. Arch. Neurol. (Chic.) 10, 327 (1964).

    Google Scholar 

  • Robles, J.: Congenital ocular motor apraxia in identical twins. Amer. Arch. Ophthal. 75, 746 (1966).

    Google Scholar 

  • Saraux, H., P. Esteve, D. Graveleau et H. Gaupil: Syndrome de Balint et apraxie oculo-motrice. Ann. Oculist. (Paris) 195, 456 (1962).

    Google Scholar 

  • Scheid, W.: Syndrome der Aphasie, der Apraxie und Agnesie. In: Lehrbuch der Neurologie. Stuttgart: Thieme 1963.

    Google Scholar 

  • Schuster u. H. W. Stenvers: zit. n. A. Kestenbaum.

    Google Scholar 

  • Smith, J. L., and D. Cogan: Optokinetic nystagmus. Springfield (Ill.): Thomas 1963.

    Google Scholar 

  • Smith, S., and G. Holmes: A case of bilateral motor apraxia with disturbance of visual orientation. Brit. med. J. 1916/1, 437.

    Google Scholar 

  • Sternberg-Raab, A.: Ein Fall von angeborener okulärer motorischer Apraxie. Klin. Mbl. Augenheilk. 147, 234 (1965).

    Google Scholar 

  • Urrets, A., and C. Remonda: Congenital ocular motor apraxia. Ophthalmologica (Basel) 134, 157 (1957).

    Google Scholar 

  • Walsh, F.: Clinical neuro-ophthalmology. Baltimore: Williams & Wilkins 1957.

    Google Scholar 

  • Walton, J.: Clumsy children. In: Little club clinics in developmental medicine No. 10. London: William Heinemanns Medical Books 1963.

    Google Scholar 

  • Wilson, S. A.: Contribution to the study of apraxia. Brain 31, 164 (1908).

    Google Scholar 

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Authors and Affiliations

  1. Universitäts-Kinderklinik Basel, Switzerland

    H. R. Hirt, B. Krauer & D. Wieser

  2. Universitäts-Augenklinik Basel, Switzerland

    H. R. Hirt, B. Krauer & D. Wieser

Authors
  1. H. R. Hirt
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  2. B. Krauer
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  3. D. Wieser
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Hirt, H.R., Krauer, B. & Wieser, D. Die kongenitale oculomotorische Apraxie Cogan. Deutsche Zeitschrift f. Nervenheilkunde 191, 342–359 (1967). https://doi.org/10.1007/BF00242863

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  • DOI: https://doi.org/10.1007/BF00242863

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